# LUCAS-PERRY DENTAL GROUP, P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275630923
- **Authorized official:** DR. PATRICIA A. LUCAS D.D.S. (PRESIDENT)
- **Authorized official phone:** (810) 691-2268

## Contact information

- **Practice address:** 4160 JOHN R ST, SUITE 824, DETROIT, MI 48201-2020
- **Practice address phone:** (810) 691-2268
- **Practice address fax:** (810) 695-6728
- **Mailing address:** 4494 WARWICK CIRCLE DR, GRAND BLANC, MI 48439-8337
- **Mailing address phone:** (810) 695-6621
- **Mailing address fax:** (810) 695-6728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901013084 | MI | Yes |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 03/07/2023